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Biomedical subjects

M M Goodsitt

Publications and source records attributed to M M Goodsitt.

At least 19 recordsLinked to original sources

Computer-aided classification of mammographic masses and normal tissue: linear discriminant analysis in texture feature space.

We studied the effectiveness of using texture features derived from spatial grey level dependence (SGLD) matrices for classification of masses and normal breast tissue on mammograms. One hundred and sixty-eight regions of interest (ROIS) containing biopsy-proven masses and 504 ROIS containing normal breast tissue were extracted from digitized mammograms for this study. Eight features were calculated for each ROI. The importance of each feature in distinguishing masses from normal tissue was determined by stepwise linear discriminant analysis. Receiver operating characteristic (ROC) methodology was used to evaluate the classification accuracy. We investigated the dependence of classification accuracy on the input features, and on the pixel distance and bit depth in the construction of the SGLD matrices. It was found that five of the texture features were important for the classification. The dependence of classification accuracy on distance and bit depth was weak for distances greater than 12 pixels and bit depths greater than seven bits. By randomly and equally dividing the data set into two groups, the classifier was trained and tested on independent data sets. The classifier achieved an average area under the ROC curve, Az, of 0.84 during training and 0.82 during testing. The results demonstrate the feasibility of using linear discriminant analysis in the texture feature space for classification of true and false detections of masses on mammograms in a computer-aided diagnosis scheme.

Biophysical Phenomena

The effect of fat on the coherent-to-Compton scattering ratio in the calcaneus: a computational analysis.

The coherent-to-Compton scattering ratio (CCSR) is a technique that has been proposed for measuring trabecular bone mineral density (TBMD). This paper investigates the effect of fat on the CCSR and its correlation to the error in TBMD measurements. It is a computational study to determine the relationship between the magnitude of fat error and the momentum-transfer variable chi, which represents the incident photon energy and the scattering angle. Variation in fat content contributes significantly to the error in CCSR measurements. When employing a typical 241Am source (E gamma = 59.45 keV), the resulting error decreases with increasing momentum-transfer variable or angle. For example, the error ranges from +14 mg/cc at an angle of 45 degrees (chi = 18.3) to +3 mg/cc at an angle of 135 degrees (chi = 44.3) for an osteoporotic trabecular region (100 mg/cc mineral) of a calcaneus that contains 6% less fat than a calibration standard. The error is about 0.3-1.2 mg/cc less for regions containing 2-3X more bone mineral and is reduced and opposite in sign for regions containing about 7% more fat than the calibration standards (e.g., -9 mg/cc at 45 degrees and -1.5 mg/cc at 135 degrees). Others have shown that the intrinsic sensitivity of the CCSR method for measuring TBMD at a given photon energy generally increases with increasing detector angle. Thus large angles are advantageous both for reduced sensitivity to fat variation and increased sensitivity to bone mineral variation. The primary disadvantage is reduced count rates that degrade precision unless long counting lines are employed.(ABSTRACT TRUNCATED AT 250 WORDS)

Absorptiometry, Photon

Beam hardening errors in post-processing dual energy quantitative computed tomography.

A computer simulation study was performed to assess the errors due to x-ray beam hardening in the fat and bone estimates of a post-processing dual-energy quantitative computed tomography technique. The "central" calibration method was employed in which calibration standards are inserted within a torso phantom of a size similar to that of the "patient." Although beam hardening errors are reduced with this method, they still occur as a result of mismatches between the torso phantom and patient body sizes. Two mismatch situations were investigated. In one, a single torso phantom was used for all subject sizes (i.e., one-size-fits-all). In the other, closest matches were made from a set of three different sized torso phantoms (small, medium, and large). In all cases, the compositions of the calibration standards that were inserted into the torso phantoms consisted of bone, fat (glycerol trioleate), and an average fat-free red marrow. Fifteen patient sizes were simulated ranging from 20 to 34 cm in diameter. There were 21 patients of each size. The vertebrae in these subjects contained known amounts of bone mixed in marrows of composition determined from chemical analyses of cadaver marrow samples. Vertebrae consisting of mixtures of the calibration standard materials were also studied. The computed effective x-ray beam energies at the vertebra location for the various subject sizes ranged from 54.3 to 56.4 keV at 80 kVp and from 74.4 to 78.8 keV at 140 kVp.(ABSTRACT TRUNCATED AT 250 WORDS)

Adipose Tissue

A comparison of two dual-energy X-ray absorptiometry systems for spinal bone mineral measurement.

Two dual-energy X-ray absorptiometry (DEXA) systems--the Hologic QDR-1000 and the Norland XR-26 bone densitometers--were evaluated in terms of precision, accuracy, linearity of response, X-ray exposure, and correlation of in vivo spinal measurements. In vitro precision and accuracy studies were performed using the Hologic anthropomorphic spine phantom; linearity of response was determined with increasing thicknesses of aluminum slabs and concentrations of Tums E-X in a constant-level water bath. Both systems were comparable in precision, achieving coefficients of variation (CVs) of less than 1% in bone mineral content (BMC, g), bone area (cm2), and bone mineral density (BMD, g/cm2). Both were accurate in their determination of BMC, bone area, and BMD with reference to the Hologic spine phantom. Both systems also showed good BMC and BMD linearity of response. Measured X-ray skin surface exposures for the Hologic and the Norland systems were 3.11 and 3.02 mR, respectively. In vivo spinal measurements (n = 65) on the systems were highly correlated (BMC: r = 0.993, SEE = 1.770 g; area: r = 0.984, SEE = 1.713 cm2; BMD: r = 0.990, SEE = 0.028 g/cm2). In conclusion, both systems are comparable in terms of precision, accuracy, linearity of response, and exposure efficiency.

Absorptiometry, Photon

Conversion relations for quantitative CT bone mineral densities measured with solid and liquid calibration standards.

A vast data base exists for QCT measurements of bone mineral density (BMD) referenced to K2HPO4 in water (liquid) standards. To effectively utilize the more stable hydroxyapatite in water-equivalent plastic (solid) standards that have recently been introduced, it will be necessary to derive conversion relations. A study was performed to investigate the dependence of these relations upon x-ray tube voltage, marrow composition, and patient body size. Test objects included five diverse composition vertebral marrow inserts within three different size lumbar simulators and an L1 vertebra within a Humanoid phantom. The calibration standards were manufactured by Image Analysis, and all data were acquired with a GE 9800 CT scanner operated at 80 kVp and 140 kVp. Least square fits to corresponding liquid versus solid referenced BMD measurements of the inserts all had r's > 0.999. SEEs, < 2 mg/ml, and intercepts of approximately 0. The slopes (BMDK2HPO4/BMDhydroxyapatite) for the various body sizes were all about the same with values of 0.86, 0.81, and 0.96 to 1.02 for the single-energy@80 kVp, single-energy@140 kVp, and dual-energy measurements, respectively. Corresponding ratios for the Humanoid vertebra were 0.86, 0.82, and 0.96. The conversion relations were essentially independent of marrow composition and body size but did depend upon kVp. Finally, although the solid standards are more stable, they may still exhibit problems, and these are discussed.

Bone Density

Microscopic mechanism of attenuation of compressional ultrasonic waves in tissue-mimicking phantom materials.

An investigation was performed to determine whether the sound-attenuation-insuspensions theory of Allegra and Hawley can be used to explain the compressional (longitudinal wave) attenuation of ultrasonically tissue-mimicking materials commonly used in phantoms for testing the performance of medical ultrasound systems. These materials are composed of microscopic graphite particles suspended in a gel. The theory was first tested using materials containing spherical glass beads instead of graphite particles because these materials more closely fit the geometric conditions assumed in the theory. For the glass bead type materials as well as the graphite particle type materials, the attenuation coefficients predicted using the Allegra and Hawley model agreed rather well with experimental measurements over the diagnostic frequency range.

Biocompatible Materials

A new set of calibration standards for estimating the fat and mineral content of vertebrae via dual energy QCT.

A new set of calibration standards has been developed for implementing a dual-energy (DE) quantitative CT technique for estimating the fat and bone content of vertebrae. The QCT technique is based upon a three-component model of bone and utilizes calibration materials that mimic those components in their X-ray attenuation properties. The three components we chose to simulate are bone (mineral plus collagen), fat and a fat-free red marrow. This choice was predicated upon our desire to employ materials that would facilitate later experimental verification of the method. The calibration standards and a set of test samples were manufactured of tissue-simulating epoxy resins. They were employed in studies of the accuracy (consistency) and precision of the technique and in a study of 21 normal postmenopausal women. Estimates of the bone and fat content of the test samples were consistent with the manufacturer's specifications to within 13 mg/ml and 7 vol%, respectively. Long-term reproducibility (coefficient of variation) for both quantities was about 3%. The average bone content of the T12-L3 vertebrae of the human subjects was 262 +/- 32 mg/ml (152 +/- 18 mg/ml calcium hydroxyapatite or mineral) and the average fat content was 63 +/- 8%. Conventional single energy (SE) QCT measurements of these vertebrae were about 23% less than the DE mineral measurements, which is consistent with the differences between SEQCT and ash content that others have determined via chemical analysis. The DE fat content is, in absolute terms, about 15% greater than values reported in the literature and may be due to an error in the assumed composition of red marrow. The true accuracy of the bone and fat estimates is to be determined in a planned human vertebral specimen study.

Bone Density

A phantom for facilitating in vitro computed tomographic studies of gallstones.

A phantom was designed and constructed for in vitro studies of gallstones using a computed tomographic (CT) scanner. A primary objective of the design was to permit studies of multiple gallstones in a single CT slice. This was accomplished by incorporating in the phantom removable compartments that contain vertically oriented, cone-shaped voids for holding the gallstones and surrounding fluid medium. A slice through the center of the phantom passes through the apex of each cone-shaped holder, and hence through the center of each gallstone. The main body of the phantom is made of water-mimicking plastic, and each compartment can accommodate gallstones ranging up to 3 cm in diameter. Initial experience with the phantom has shown it to be a successful design.

Cholelithiasis

A DPA technique for simultaneously measuring bone, soft tissue, and fat content.

Although conventional dual photon absorptiometry (DPA) techniques can be used to estimate fat and soft tissue content, such estimates are not possible where bone is present. We propose a method that can make these estimates in the presence of bone in the extremities of the body. The combination of this method with the conventional method should yield fat and soft tissue composition from most points within the body. The proposed technique simultaneously measures thicknesses of bone, soft tissue, and fat. These thicknesses are determined of bone, soft tissue, and fat. These thicknesses are determined from a combination of gamma-ray transmission data at two energies and a measurement of total tissue thickness. To test the technique, a feasibility study was performed with known thicknesses of aluminum (simulating bone), lucite (simulating tissue), and polyethylene (simulating fat). A variety of thicknesses of each material were employed (Al: 0-1.3 cm, lucite: 0-5 cm, polyethylene: 0-5 cm). The accuracies (standard errors of the estimates) of the calculated versus true thicknesses of aluminum, lucite, and polyethylene were 0.6%, 2.6%, and 2.5%, respectively. The estimates of "bone" thickness were insensitive to the presence of varying thicknesses of "fat." (In contrast, application of the conventional DPA method to the same gamma-ray transmission data yielded underestimates in "bone" thickness due to "fat" by as much as 11%.) For a 60 minute (whole body) scan time, the reproducibility of the measurements of the thicknesses of aluminum, lucite, and polyethylene were 0.4%, 1.0%, and 1.3%, respectively. All of these values are in a clinically useful range.(ABSTRACT TRUNCATED AT 250 WORDS)

Absorptiometry, Photon

Bone and bone marrow changes in Gaucher disease: evaluation with quantitative CT.

The trabecular bone density and bone marrow fat content in eight patients with type 1 Gaucher disease were measured with the use of a modification of dual-energy computed tomography (CT). The results were compared with those in published reports of single-energy quantitative CT measurements in healthy subjects and with dual-energy data obtained in studies of healthy premenopausal women and elderly osteopenic women. The trabecular bone mass was moderately decreased in patients with Gaucher disease. The bone marrow fat content was markedly diminished, presumably due to replacement of marrow fat by Gaucher cells. In healthy and osteopenic subjects single-energy quantitative CT values were lowered by the presence of marrow fat. Comparable single-energy measurements in patients with Gaucher disease reflect greater degrees of bone loss. Low levels of marrow fat may prove to be a valuable marker of the severity of marrow disease.

Absorptiometry, Photon

Intravertebral fat measurement with quantitative CT in patients with Cushing disease and anorexia nervosa.

Dual-energy quantitative computed tomography can be used to calculate the intravertebral fat content as well as to correct the effect of intravertebral fat on bone density measurements. The authors studied seven female patients with Cushing syndrome and 15 female patients with anorexia nervosa--conditions known to result in abnormalities of somatic fat distribution--to determine whether the intravertebral fat content was normal and whether it reflected somatic fat quantities. Intravertebral fat content could not be predicted on the basis of somatic fat, weight, or bone mineral content. Intravertebral fat content was elevated in patients with anorexia nervosa (compared with normal values in young female volunteers). In patients with anorexia, the amount of fat increase was disproportionately large for the severity of osteopenia. In patients with Cushing syndrome, the intravertebral fat content did not differ from that in the volunteers. Intravertebral fat does not correlate well with bone mineral content within any group and appears to be related to other factors.

Adolescent

Effect of collagen on bone mineral analysis with CT.

Single-energy and dual-energy quantitative computed tomography (CT) techniques were used to analyze test solutions that contained agar, K2HPO4, and isopropanol, which stimulated collagen, mineral, and fat, respectively. The impact of the use of peripheral and anthropomorphic (central) calibration phantoms was also studied. A 10% change in fat content was found to cause errors in the estimated bone mineral content of -10 mg/mL, -14 mg/mL, and -1 mg/mL for single-energy CT at 80 kVp, single-energy CT at 140 kVp, and dual-energy CT, respectively. In the K2HPO4 solutions, the addition of 50 mg/mL agar increased the estimated bone mineral content by 20-33 mg/mL for single-energy CT, and by 12-17 mg/mL for dual-energy CT. The best estimates were obtained with central calibration and dual-energy CT, but the estimates were still 14%-24% greater than the true values. Calibration samples that more accurately simulate actual spongiosa may reduce this source of error. Caution should be exercised in the use of quantitative CT under conditions in which either the bone marrow or collagen content is altered by disease or therapy.

1-Propanol

Two postprocessing CT techniques for determining the composition of trabecular bone.

Two dual-energy CT techniques have been developed to analyze the mineral and fat content of trabecular bone. Both are postprocessing techniques that employ calibration standards. Experiments were performed to test these techniques against conventional single-energy techniques and two other dual-energy techniques. As expected, all of the dual-energy methods estimate the mineral content more accurately when fat is present. In contrast to the other dual-energy methods, the new methods described in this article are unique because they make a separate estimate of the fat content of the bone. The results of preliminary tests of these techniques in estimating fat content have been encouraging. Although not exact, the estimates show the correct trend in increasing proportionately as the fat content increases. Possible applications of the techniques in the study of osteoporosis and other bone diseases are described.

Adipose Tissue

Quantitative computed tomography scanning for measurement of bone and bone marrow fat content. A comparison of single- and dual-energy techniques using a solid synthetic phantom.

Quantitative CT (QCT) has become a popular method for estimating bone mineral content. In addition, QCT can be used to estimate the fat content of trabecular bone. Although the latter has received little attention, it may prove to be clinically significant. Using a set of custom-built, tissue-mimicking plastic inserts in an anthropomorphic phantom, we tested a variety of methods for estimating mineral and fat content. We also investigated the influence of patient size, reconstruction circle size, and reference phantom choice on the accuracy of the results. Best estimates were obtained when there was a match between patient and reconstruction circle size. Single-energy methods yielded the best estimates of mineral content for inserts that did not contain fat, and dual-energy methods yielded the best estimates for inserts that contained fat. A dual-energy method that we developed was best in estimating the mineral and fat content of the latter inserts. We found that an external calibration reference phantom containing aqueous solutions of K2HPO4 could be used satisfactorily to estimate the mineral content of trabecular bone mimicking inserts; however, more representative materials must be used for accurate estimates of fat content.

Body Constitution

An improved ultrasound simulation model: use in evaluating log versus linear processing for lesion detection.

This paper reports the development of an improved three-dimensional computer simulation model for evaluation of ultrasonic imaging systems. This model was used to successfully evaluate a signal processing method for improving lesion detection in ultrasound imaging. Linear processing of the rf signal amplitudes from a limited region of tissue was compared with the logarithmic compression employed by most commercial scanners. Two lesions were simulated by spherical distributions of scatterers having backscatter coefficients greater than the scatterers in the surrounding medium. Linear processing improved the differential contrast by a factor of about two. The simulation is based on the three-dimensional distribution of acoustic frequency spectra in a transducer beam and integration of scattered pulses from a corresponding three-dimensional array of scatterers. The simulation reported in previous papers depended upon physical measurement of the impulse response of a transducer. An original contribution described briefly herein, and in more detail in a companion article, is the addition of a model of the transducer's pulse waveform generation. Another new addition is the definition of a specific lesion detection task for objective assessment of a change in image quality following perturbation of some system parameter.

Computer Simulation

Digital simulation of pulsed ultrasonic waveforms.

When modeling or simulating an ultrasonic pulse-echo system it is necessary to know the transducer waveforms that are the input to the system. In general, accurate transducer modeling is complex and waveform calculation is computationally intensive. Because of this, investigators often assume these waveforms to be simple sinusoids, modulated by Gaussian or exponential envelopes. However, these latter type pulses do not properly represent the complex response of modern piezoelectric transducers. In this paper, a simple set of equations is presented which can approximate the behavior of a number of common transducer configurations. In the first step of the procedure, a simple but accurate model is employed to calculate the step responses of quarter-wave-matched and backed piezoelectric transducers, assuming open circuit conditions. Effects of electrical terminations and transmit/receive bandwidth limitations are accounted for, approximately, by cascaded filtering. Emitted pressure waveforms and echo voltage waveforms synthesized by this simple procedure are very similar to measured waveforms from real transducers. Under most conditions, the method is only an approximation because the model erroneously assumes isolation between the electrical and acoustic networks. However, under many conditions the model is sufficiently accurate to predict actual transducer performance.

Computer Simulation

Radiation dose reduction during hysterosalpingography: an application of scanning-beam digital radiography.

Hysterosalpingography was performed in 31 patients by means of a low-dose scanning-beam digital radiographic system. The technique permits adequate evaluation of gynecologic abnormalities while allowing significant reduction in radiation: 2.4-mR (6.1 X 10(-7) C/kg) exposure to the skin and 0.7-mrad (7 X 10(-6) Gy) mean dose to the ovaries per image obtained. Sixteen patients demonstrated readily recognizable and documented abnormalities, corroborated by laparoscopy, laparotomy, or other supportive evidence.

Adolescent